Provider Demographics
NPI:1881056695
Name:PATEL, ANKUR NILESH (MD, MS)
Entity type:Individual
Prefix:
First Name:ANKUR
Middle Name:NILESH
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3517 NW CAMAS MEADOWS DR STE 210
Mailing Address - Street 2:
Mailing Address - City:CAMAS
Mailing Address - State:WA
Mailing Address - Zip Code:98607-7672
Mailing Address - Country:US
Mailing Address - Phone:360-345-3175
Mailing Address - Fax:
Practice Address - Street 1:3517 NW CAMAS MEADOWS DR STE 210
Practice Address - Street 2:
Practice Address - City:CAMAS
Practice Address - State:WA
Practice Address - Zip Code:98607-7672
Practice Address - Country:US
Practice Address - Phone:360-345-3175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-22
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD61094605207RS0012X
MTMED-PHYS-LIC-129102207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine